Qiuhui Chen

Qiuhui Chen, Yi Hong

Recently, weakly-supervised image segmentation using weak annotations like scribbles has gained great attention, since such annotations are much easier to obtain compared to time-consuming and label-intensive labeling at the pixel/voxel level. However, because scribbles lack structure information of region of interest (ROI), existing scribble-based methods suffer from poor boundary localization. Furthermore, most current methods are designed for 2D image segmentation, which do not fully leverage the volumetric information if directly applied to image slices. In this paper, we propose a scribble-based volumetric image segmentation, Scribble2D5, which tackles 3D anisotropic image segmentation and improves boundary prediction. To achieve this, we augment a 2.5D attention UNet with a proposed label propagation module to extend semantic information from scribbles and a combination of static and active boundary prediction to learn ROI's boundary and regularize its shape. Extensive experiments on three public datasets demonstrate Scribble2D5 significantly outperforms current scribble-based methods and approaches the performance of fully-supervised ones. Our code is available online.

Qiuhui Chen, Yi Hong

Structural magnetic resonance imaging (sMRI) is widely used for brain neurological disease diagnosis; while longitudinal MRIs are often collected to monitor and capture disease progression, as clinically used in diagnosing Alzheimer's disease (AD). However, most current methods neglect AD's progressive nature and only take a single sMRI for recognizing AD. In this paper, we consider the problem of leveraging the longitudinal MRIs of a subject for AD identification. To capture longitudinal changes in sMRIs, we propose a novel model Longformer, a spatiotemporal transformer network that performs attention mechanisms spatially on sMRIs at each time point and integrates brain region features over time to obtain longitudinal embeddings for classification. Our Longformer achieves state-of-the-art performance on two binary classification tasks of separating different stages of AD using the ADNI dataset. Our source code is available at https://github.com/Qybc/LongFormer.

Qiuhui Chen, Xuancheng Yao, Huping Ye et al.

Understanding 3D medical image volumes is critical in the medical field, yet existing 3D medical convolution and transformer-based self-supervised learning (SSL) methods often lack deep semantic comprehension. Recent advancements in multimodal large language models (MLLMs) provide a promising approach to enhance image understanding through text descriptions. To leverage these 2D MLLMs for improved 3D medical image understanding, we propose Med3DInsight, a novel pretraining framework that integrates 3D image encoders with 2D MLLMs via a specially designed plane-slice-aware transformer module. Additionally, our model employs a partial optimal transport based alignment, demonstrating greater tolerance to noise introduced by potential noises in LLM-generated content. Med3DInsight introduces a new paradigm for scalable multimodal 3D medical representation learning without requiring human annotations. Extensive experiments demonstrate our state-of-the-art performance on two downstream tasks, i.e., segmentation and classification, across various public datasets with CT and MRI modalities, outperforming current SSL methods. Med3DInsight can be seamlessly integrated into existing 3D medical image understanding networks, potentially enhancing their performance. Our source code, generated datasets, and pre-trained models will be available at https://github.com/Qybc/Med3DInsight.

Qiuhui Chen, Xinyue Hu, Zirui Wang et al.

Vision-language pre-training (VLP) models have been demonstrated to be effective in many computer vision applications. In this paper, we consider developing a VLP model in the medical domain for making computer-aided diagnoses (CAD) based on image scans and text descriptions in electronic health records, as done in practice. To achieve our goal, we present a lightweight CAD system MedBLIP, a new paradigm for bootstrapping VLP from off-the-shelf frozen pre-trained image encoders and frozen large language models. We design a MedQFormer module to bridge the gap between 3D medical images and 2D pre-trained image encoders and language models as well. To evaluate the effectiveness of our MedBLIP, we collect more than 30,000 image volumes from five public Alzheimer's disease (AD) datasets, i.e., ADNI, NACC, OASIS, AIBL, and MIRIAD. On this largest AD dataset we know, our model achieves the SOTA performance on the zero-shot classification of healthy, mild cognitive impairment (MCI), and AD subjects, and shows its capability of making medical visual question answering (VQA). The code and pre-trained models is available online: https://github.com/Qybc/MedBLIP.

Qiuhui Chen, Haiying Lyu, Xinyue Hu et al.

Recently, weakly-supervised image segmentation using weak annotations like scribbles has gained great attention in computer vision and medical image analysis, since such annotations are much easier to obtain compared to time-consuming and labor-intensive labeling at the pixel/voxel level. However, due to a lack of structure supervision on regions of interest (ROIs), existing scribble-based methods suffer from poor boundary localization. Furthermore, most current methods are designed for 2D image segmentation, which do not fully leverage the volumetric information if directly applied to each image slice. In this paper, we propose a scribble-based volumetric image segmentation, Scribble2D5, which tackles 3D anisotropic image segmentation and aims to its improve boundary prediction. To achieve this, we augment a 2.5D attention UNet with a proposed label propagation module to extend semantic information from scribbles and use a combination of static and active boundary prediction to learn ROI's boundary and regularize its shape. Also, we propose an optional add-on component, which incorporates the shape prior information from unpaired segmentation masks to further improve model accuracy. Extensive experiments on three public datasets and one private dataset demonstrate our Scribble2D5 achieves state-of-the-art performance on volumetric image segmentation using scribbles and shape prior if available.

Qiuhui Chen, Yi Hong

Medical data collected for diagnostic decisions are typically multimodal, providing comprehensive information on a subject. While computer-aided diagnosis systems can benefit from multimodal inputs, effectively fusing such data remains a challenging task and a key focus in medical research. In this paper, we propose a transformer-based framework, called Alifuse, for aligning and fusing multimodal medical data. Specifically, we convert medical images and both unstructured and structured clinical records into vision and language tokens, employing intramodal and intermodal attention mechanisms to learn unified representations of all imaging and non-imaging data for classification. Additionally, we integrate restoration modeling with contrastive learning frameworks, jointly learning the high-level semantic alignment between images and texts and the low-level understanding of one modality with the help of another. We apply Alifuse to classify Alzheimer's disease, achieving state-of-the-art performance on five public datasets and outperforming eight baselines.

Qiuhui Chen, Huping Ye, Yi Hong

Understanding 3D medical image volumes is a critical task in the medical domain. However, existing 3D convolution and transformer-based methods have limited semantic understanding of an image volume and also need a large set of volumes for training. Recent advances in multi-modal large language models (MLLMs) provide a new and promising way to understand images with the help of text descriptions. However, most current MLLMs are designed for 2D natural images. To enhance the 3D medical image understanding with 2D MLLMs, we propose a novel pre-training framework called Med3DInsight, which marries existing 3D image encoders with 2D MLLMs and bridges them via a designed Plane-Slice-Aware Transformer (PSAT) module. Extensive experiments demonstrate our SOTA performance on two downstream segmentation and classification tasks, including three public datasets with CT and MRI modalities and comparison to more than ten baselines. Med3DInsight can be easily integrated into any current 3D medical image understanding network and improves its performance by a good margin.